Healthcare Dive

APRIL 3, 2024

Starting in 2026, plans sold in state-based exchanges will be required to meet time and distance standards for provider access that are already applied to plans sold federally.

ACA 196

ACA 196

Healthcare Dive

JULY 29, 2022

The bill, part of a more than $300 billion package, extends enhanced ACA premiums and allows Medicare to negotiate select prescription drug prices starting in 2026.

ACA 261

ACA Prescription Drug Pricing Medicare Medicare 261

Innovaare Compliance

APRIL 27, 2023

A perspective on recent industry shifts influencing ACA plan operations in states, which are yet to adopt ACA Medicaid expansion Health Exchange plans covered under ACA (Accountable Care Act) witnessed 36% enrollment growth between 2021 and 2023. This is the sharpest rise in ACA enrollment since inception. ACA plans).

ACA 52

ACA Medicaid Medicaid Health Outcomes 52

Medisys Compliance

JULY 27, 2022

Section 4104 of the Affordable Care Act (ACA) defined the term ‘preventive services’ to include ‘colorectal cancer screening tests’ and, as a result, it waives any coinsurance that would otherwise apply under Section 1833(a)(1) of the Social Security Act for screening colonoscopies. Background for Reduced Co-Insurance.

Medical Billing 52

Medical Billing Medical Billing Outsourcing ACA Medicare 52

Healthcare Law Blog

DECEMBER 15, 2022

Specifically, CMS proposes that, beginning January 1, 2026, impacted payers would be required to: Implement and maintain a FHIR PARDD API using technology conformant with certain standards and implementation specifications in 45 CFR 170.215. CMS is not proposing to apply these requirements to drugs that are covered by the MAO.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Healthcare Law Blog

AUGUST 25, 2022

The first list of up to 10 Part D negotiation-eligible drugs will be published in 2026, the earliest “price applicability date” at which the Program takes effect. The drug publication date for 2026 will be chosen by September 1, 2023. Additional updates of note include: ACA Premium Tax Credit Eligibility. Other Updates.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

JANUARY 27, 2023

What the state is doing to address the opioid epidemic COVID-19 numbers in decline with latest report Having a baby proves deadlier for Kentucky moms Kentucky flu cases continue to drop in latest report University of Kentucky cardiac, cancer specialists collaborate to prevent heart problems in cancer patients Humana Inc.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40